JEREMY BERBEREIA (NPI# 1508279381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508279381 |
| Entity Type | Individual |
| Full Name | JEREMY BERBEREIA |
| Credential | PA-C |
| Practice Address |
1150 State Highway 248 #200 Branson MO 65616-3758 |
| Practice Telephone | 4173364112 |
| Mailing Telephone | 4173364112 |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2014017612 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1150 STATE HIGHWAY 248 #200 |
| City | BRANSON |
| State | MO |
| Zip Code | 65616-3758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678688 | Skaggs Community Health Center and Clinics | Specialist | 1150 State Highway 248, Ste. 100, Branson, MO 65616-3758 | 2005-12-05 |
| 1518460229 | Karissa N Fox Koscheski | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2018-03-09 |
| 1164973020 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2016-10-17 |
| 1124415864 | Leo Michael Martinez | Social Worker | 1150 State Highway 248, Ste 202, Branson, MO 65616-3758 | 2015-04-21 |
| 1952705881 | Stephanie Jean Rexilius | Nurse Practitioner | 1150 State Highway 248, Branson, MO 65616-3758 | 2014-10-21 |
| 1902188535 | Skaggs Community Hospital Association | Obstetrics & Gynecology | 1150 State Highway 248, Suite 201b, Branson, MO 65616-3758 | 2011-09-09 |
| 1629203120 | Irina G Durbin | Physician Assistant | 1150 State Highway 248, Branson, MO 65616-3758 | 2009-05-28 |
| 1770728586 | Branson Heart Center | Internal Medicine | 1150 State Highway 248, Branson, MO 65616-3758 | 2008-12-08 |
| 1629156971 | Skaggs Community Hospital Association | Family Medicine | 1150 State Highway 248, Suite 202, Branson, MO 65616-3758 | 2006-11-02 |
| 1992894331 | Bonnie Blevins | Clinical Nurse Specialist | 1150 State Highway 248, Suite 200, Branson, MO 65616-3758 | 2006-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495959 | Lester E Cox Medical Centers | Nurse Practitioner | 935 P Rd 65-60, Branson, MO 65616 | 2020-07-23 |
| 1184286379 | Michelle Le Short | Massage Therapist | 3000 Green Mountain Dr Ste 104, Branson, MO 65616 | 2019-07-08 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1619414539 | Brittany N Wright | Physical Therapist | 813 S Business Us Highway 65, Branson, MO 65616 | 2017-01-30 |
| 1184018632 | Christopher Amundsen | Orthopaedic Surgery | 448 State Highway 248, Branson, MO 65616 | 2015-03-23 |
| 1538567938 | Tracy Lynn Douthard | Physical Therapist | 714 State Highway 248 Ste 503, Branson, MO 65616 | 2014-12-17 |
| 1952707838 | Regginold Prescott Lucas | Technician | 220 Everest Circle, Apt 4, Branson, MO 65616 | 2014-11-05 |
| 1174958094 | Morghan Olson | Chiropractor | 813 S. Business Us Highway 65, Branson, MO 65616 | 2013-09-10 |
| 1164864336 | Branson Braces LLC | Dentist | 168 S. Payne Stewart Dr., Ste 100, Branson, MO 65616 | 2013-07-29 |
| 1528400173 | Emologic Clinic, LLC | Registered Nurse | 500 W. Main, Ste 204, Branson, MO 65616 | 2013-07-24 |
| Find all providers in zip 65616 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528294667 | Phyllis Johnna Manna | Physician Assistant | 101 Skaggs Rd, Suite 302, Branson, MO 65616-2075 | 2009-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.